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Journal of clinical anesthesia and pain management最新文献

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Anaesthetic Considerations for Patients with a Vagal Nerve Stimulator 迷走神经刺激器患者的麻醉注意事项
Journal of clinical anesthesia and pain management Pub Date : 2020-08-10 DOI: 10.36959/377/340
Tuohy Grellan, Chalissery Albi Jose, Murphy Ciara Jean, Solymos Orsolya
{"title":"Anaesthetic Considerations for Patients with a Vagal Nerve Stimulator","authors":"Tuohy Grellan, Chalissery Albi Jose, Murphy Ciara Jean, Solymos Orsolya","doi":"10.36959/377/340","DOIUrl":"https://doi.org/10.36959/377/340","url":null,"abstract":"Vagal nerve stimulation is a neurosurgical treatment modality approved for the management of drug-resistant epilepsy. With its increased utilisation, anaesthesiologists will more frequently encounter patients with an indwelling vagal nerve stimulator (VNS), both in the elective and in the emergency surgical settings. Knowledge of the implications of the indwelling VNS in the perioperative period is vitally important for the anaesthesiologist, both for patient safety and to ensure proper device functioning after any intervention.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79489841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Retained Supraclavicular Peripheral Nerve Catheter 保留锁骨上周围神经导管
Journal of clinical anesthesia and pain management Pub Date : 2019-09-16 DOI: 10.36959/377/333
Suggs Jimmy, M. David, S. Ricardo
{"title":"Retained Supraclavicular Peripheral Nerve Catheter","authors":"Suggs Jimmy, M. David, S. Ricardo","doi":"10.36959/377/333","DOIUrl":"https://doi.org/10.36959/377/333","url":null,"abstract":"","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81441262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Split Suction Catheter Stuck in an Endotracheal Tube: A Case Report 裂吸导管卡在气管内1例
Journal of clinical anesthesia and pain management Pub Date : 2019-08-22 DOI: 10.36959/377/332
Kim, Soo Yeon, Kim Kyu Nam, Eun Sun Jung, Lee Min Kyu, Kang Sun
{"title":"Split Suction Catheter Stuck in an Endotracheal Tube: A Case Report","authors":"Kim, Soo Yeon, Kim Kyu Nam, Eun Sun Jung, Lee Min Kyu, Kang Sun","doi":"10.36959/377/332","DOIUrl":"https://doi.org/10.36959/377/332","url":null,"abstract":"Endotracheal tube (ETT) suction is frequently required to remove a mucosal plug or clots to prevent airway obstruction. We encountered a case of a suction catheter that was stuck in an ETT and split by forcible pulling. The patient was intubated with a 6.5 mm oral-preformed ETT. At the end of surgery, a 12-French suction catheter became lodged in the ETT. The catheter was pulled forcibly, and it split into two parts. Normal saline was injected into the ETT for lubrication and, using forceps, the catheter was pulled in small increments and successfully removed. To prevent this complication, physicians should carefully select the appropriate catheter size, and the catheter should be lubricated. If a suction catheter becomes stuck in an ETT, instillation of normal saline and use of forceps may facilitate removal.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86671454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Epidural Anesthesia Combined with Intravenous Dexmedetomidine Sedation for Elective Ileostomy Closure in a Patient with Bilateral Lung Transplantation: A Case Report 硬膜外麻醉联合静脉右美托咪定镇静治疗双侧肺移植择期回肠造口术1例
Journal of clinical anesthesia and pain management Pub Date : 2019-06-24 DOI: 10.36959/377/331
Montblanc Jacques de, Jamil Elmawieh, Tilly Camille, B. Dan
{"title":"Epidural Anesthesia Combined with Intravenous Dexmedetomidine Sedation for Elective Ileostomy Closure in a Patient with Bilateral Lung Transplantation: A Case Report","authors":"Montblanc Jacques de, Jamil Elmawieh, Tilly Camille, B. Dan","doi":"10.36959/377/331","DOIUrl":"https://doi.org/10.36959/377/331","url":null,"abstract":"A patient who had undergone bilateral lung transplantation surgery four years ago and had significant residual pulmonary insufficiency was scheduled for elective ileostomy closure. The procedure was performed under epidural anesthesia, intravenous sedation with dexmedetomidine and spontaneous ventilation without tracheal intubation. The combination provided high quality intraoperative analgesia and a moderate level of sedation without causing respiratory depression or excessive hemodynamic instability. The pharmacological properties of dexmedetomidine contributed to make this technique safe and effective.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77118984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Challenges in Patients with Alpha-Gal Allergy α -半乳糖过敏患者的围手术期挑战
Journal of clinical anesthesia and pain management Pub Date : 2019-06-22 DOI: 10.36959/377/330
F. D’Ercole, Vishal H. Dhandha, Marc L Levi, April B Todd, Priya A. Kumar
{"title":"Perioperative Challenges in Patients with Alpha-Gal Allergy","authors":"F. D’Ercole, Vishal H. Dhandha, Marc L Levi, April B Todd, Priya A. Kumar","doi":"10.36959/377/330","DOIUrl":"https://doi.org/10.36959/377/330","url":null,"abstract":"Alpha-gal allergy, also known as, mammalian meat allergy (MMA) is well described in the Allergy literature, however, the Anesthesiology literature remains soft in supporting recommendations for perioperative management. The goal of the Centers for Disease Control and Prevention (CDC) is to better understand the pathogenesis, signs and symptoms, and prevention of this delayed anaphylactic reaction compared to the rapid onset of most food allergies, especially immunoglobulin E (IgE) mediated allergy. MMA is not limited to dietary beef, bison, goat, pork, lamb, and venison intake alone but includes some perioperative medication formularies containing inactive ingredients such as gelatin, glycerin or stearate; surgical products such as surgical powder, xenografts, and porcine derived heart valve per the manufacturer's specifications.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"40 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85857622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Effectiveness of Stretching Exercises in TMJ Closed Lock Management - Case Reports 伸展运动在颞下颌关节闭锁管理中的有效性-病例报告
Journal of clinical anesthesia and pain management Pub Date : 2019-06-03 DOI: 10.36959/377/329
Marta Miernik, Agnieszka Nowakowska-Toporowska
{"title":"Effectiveness of Stretching Exercises in TMJ Closed Lock Management - Case Reports","authors":"Marta Miernik, Agnieszka Nowakowska-Toporowska","doi":"10.36959/377/329","DOIUrl":"https://doi.org/10.36959/377/329","url":null,"abstract":"Internal derangement in temporomandibular joint (TMJ), including disc displacement without reduction with limited mouth opening, is a common TMJ disorder. The main symptoms of closed lock are limited mouth opening and pain in the affected TMJ. In such clinical cases, therapeutic management might be administered by physical therapy.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91077603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Perioperative Blood Loss in Cardiac Surgery Patients Receiving High and Low Dose Tranexamic Acid 高低剂量氨甲环酸对心脏手术患者围手术期失血量的影响
Journal of clinical anesthesia and pain management Pub Date : 2019-05-23 DOI: 10.36959/377/328
Weingartshofer A, Mingo H, Kent B, Mackinnon Sp, Kwapisz Mm
{"title":"Evaluating Perioperative Blood Loss in Cardiac Surgery Patients Receiving High and Low Dose Tranexamic Acid","authors":"Weingartshofer A, Mingo H, Kent B, Mackinnon Sp, Kwapisz Mm","doi":"10.36959/377/328","DOIUrl":"https://doi.org/10.36959/377/328","url":null,"abstract":"Excessive perioperative blood loss is a concern for patients undergoing high risk procedures; thus, tranexamic acid (TXA) is administered at the beginning of surgery to minimize blood loss. Previous studies have had mixed results. The aim of this retrospective chart review is to determine whether low or high dose TXA minimizes blood transfusions and post-operative adverse events.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"98 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81149074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postoperative Hypertension: When Blood Pressure Cuff and Arterial Line Disagree 术后高血压:当血压袖带和动脉线不一致时
Journal of clinical anesthesia and pain management Pub Date : 2019-05-17 DOI: 10.36959/377/327
O. V. Storozh, M. A. Ashraf, Alan M. Smeltz
{"title":"Postoperative Hypertension: When Blood Pressure Cuff and Arterial Line Disagree","authors":"O. V. Storozh, M. A. Ashraf, Alan M. Smeltz","doi":"10.36959/377/327","DOIUrl":"https://doi.org/10.36959/377/327","url":null,"abstract":"Hypertension is a commonly encountered condition by anesthesiologists yet there is no clearly defined approach to monitoring and managing blood pressure in the perioperative period. In this review, we focus on common dilemmas in perioperative management of hypertensive patients including preoperative evaluation and indications for postponement of elective procedures; appraise the commonly used modes of perioperative blood pressure monitoring; discuss acute hypertension in the postoperative period and the role of blood pressure in discharge criteria for patients in the post-anesthesia care unit; and we review the relevant pathophysiology of organ perfusion in chronic hypertension and the implication for postoperative blood pressure management in hypertensive patients.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89144910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty 重度主动脉瓣狭窄患者行全膝关节置换术的持续脊髓麻醉
Journal of clinical anesthesia and pain management Pub Date : 2019-04-15 DOI: 10.36959/377/326
J. Drew, C. YoungAdam
{"title":"Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty","authors":"J. Drew, C. YoungAdam","doi":"10.36959/377/326","DOIUrl":"https://doi.org/10.36959/377/326","url":null,"abstract":"Patients with severe aortic stenosis represent a serious perioperative challenge for anesthesiologists when presenting for orthopedic surgery. Avoiding general anesthesia can be beneficial by averting the dramatic hemodynamic changes that can occur at induction and emergence. However, regional anesthesia can similarly produce significant alterations in sympathetic tone in blocked regions. We discuss the successful use of a continuous spinal anesthetic in a patient with severe aortic stenosis undergoing elective total knee arthroplasty. Citation: Jensen D, Young AC (2019) Continuous Spinal Anesthetic in a Patient with Severe Aortic Stenosis for Total Knee Arthroplasty. J Clin Anesth Pain Manag 3(1):51-52 Jensen and Young. J Clin Anesth Pain Manag 2019, 3(1):51-52 Open Access | Page 52 | technique safely for our patient and could be considered by anesthesiologists confronted with a similar scenario. Financial Disclosures","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89464913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Opioid Management and Risk Mitigation 阿片类药物管理和风险缓解
Journal of clinical anesthesia and pain management Pub Date : 2019-02-13 DOI: 10.36959/377/325
G. Mark, N DavisFred, Risko Rebecca
{"title":"Opioid Management and Risk Mitigation","authors":"G. Mark, N DavisFred, Risko Rebecca","doi":"10.36959/377/325","DOIUrl":"https://doi.org/10.36959/377/325","url":null,"abstract":"Over the span of seven months physicians had to reconcile two very different messages regarding pain and the use of opioids issued by institutions that guide healthcare in the United States. First, in June of 2011, The Institute of Medicine (IOM) issued a “Blueprint for Relieving Pain” in America [1]. They rightfully pointed out that chronic pain costs the nation up to $635 billion each year in medical treatment and lost productivity. They also stated that “groups of people currently are underdiagnosed and undertreated, and the IOM encourages federal and state agencies and private organizations to accelerate the collection of data on pain incidence, prevalence, and treatments”.","PeriodicalId":92399,"journal":{"name":"Journal of clinical anesthesia and pain management","volume":"122 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79107415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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